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APPROVED ENG2024-0445 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT 9:0i i i www.edmondswa.gov i Description: PUD - INSTALL NEW POLE BEHIND THE SIDEWLK & REMOVE BO POLE ISSUED: 10/15/2024 Address: 22224 76TH AVE W - ESPERANCE EDMONDS WA 98026 EXPIRES: 04/15/2025 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00501100001200 NAME TYPE NAME ADDRESS PHONE APPLICANT MOE MATTHEWS PO BOX 1107, EVERETT WA 98206 (425)783-5681 CONTACT SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)725-0389 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER CORNERSTONE HOMES NW LLC 13805 SMOKEY POINT BLVD 101, MARYSVILLE WA 98271 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS - 4.1.24 $528.00 $528.00 ROW - STANDARD - 4.1.24 $396.00 $396.00 REQUIREMENTS REQUIREMENT TYPE NOTES TRAFFIC CONTROL Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must be trained as required by WAC 296-155-305 and must have certification verifying completion of the required training in their posession. RESTORATION Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City approved material prior to the end of the workday - No Exceptions WARRANTY The contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the work. INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM 24 HR NOTICE REQUIRED The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of granting this permit. RELEASED BY: MAJ DATE: 10/15/2024 Printed: Tuesday, October 15, 2024 11:23:44 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE City of Edmonds www.edmondswa.gov • • CONDITIONS CONDITION TYPE ALERT RESIDENTS ALERT AFFECTED RESIDENTS AND OR BUSINESSES PRIOR TO WORK START. It is the owner's responsibility to repair/replace all damage of utilities or frontage improvements in DAMAGE TO FRONTAGE City right of Ways or Easements to City Standards caused by or occurring during the permitted IMPROVEMENTS project. MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD ESC REQUIREMENTS REQUIREMENTS. Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the HOLD HARMLESS issuance for this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance provision. SCHEDULE REQUIRED INSPECTIONS AS NOTED THROUGH MY BUILDING PERMIT. INSPECTIONS www.mybuildingpermit.com POTHOLING VERIFY CLEAR BORE CROSSINGS. RESTORE LANDSCAPE Restore landscape to like or better conditions Sound or noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on SOUND AND NOISE weekdays and 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites and activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. All utilities shall be located prior to any excavation. New locates shall be called for if at time of UTILITY LOCATES excavation, original locates are no longer identifiable. INSPECTIONS INSPECTION TYPE DATE RESULT COMPLETE A-1 JOB START X-2 ENGINEERING FINAL** E-7 TRAFFIC CTRL E-7 CONCRETE SIDEWALK E-7 RESTOR LIMITS Printed: Tuesday, October 15, 2024 11:23:44 AM 2 of 2 RECEIVED Lti�y of Epiy04o� ANC. 1 g90 SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right -of -Way permit Handout E63. SEP 11 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT If any field is not applicable to your project, write "N/A" instead of leaving blank. All fields required. Incomplete Applications will be denied. General • Project Name Bad order pole replacement PLI: 14775 WO 100136831-0030 Site Address or if no site address use Property Address at NW corner of project area: 22224 76th Ave. W Associated Permits: BLD PLN ENG Owner and Entity Holding•• .• - Name of Company Snohomish County PUD Franchise Ordinance No: N/A Point of ContactAmanda Bennett Title Engineer Tech 1 Address P.O. Box 1107 City Everett State WA zip 98026 Phone 425-725-0389 Email permits@snopud.com Contractor and Authorized Agent of Owner Name of Company Same as above (see note below) Contractor Contacts During Construction Primary Name Same as above Agent Name Title Title Mobile Address Email City State Zip Secondary Name Phone Title Email Mobile City of Edmonds Business License No: Email State License No: 313-005-741 56 Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o.02o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: 'Utility Franchise Work associated with development (check one of the above boxes as well) ❑ Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 ❑ Utility Franchise Work (no associated development) Project Description Include an overall narrative description of the proposed work. Be specific and detailed: Describe infrastructure to be impacted, such as, poles, wires, conduit, utility mains, etc. Include whether this is construction, maintenance, or repair. Include description of proposed construction methods, (e.g., bores, trenches, overhead wires proposed, depth for underground utilities, etc.) Scope of work: Replace depreciated pole PLI 14775, relocate pole onto private property. Location of job: Worksite on the east side of 76th Ave W, between 222nd Street SW & 223rd Street SW. One day partial southbound lane closure on 76th Ave W Work to be completed between the hours of Sam and 4pm for 8 hours. No tree trimming or pavement cutting required. Traffic control by PUD RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF JxJ LF SF N/A Alley 72 hours + LF JxJ F SF N/A Parking 72 hours + LF JxJ LF SF N/A SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C. 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable A power ❑ gas ❑ water ❑ sewer ❑ storm 1. CompletedDetails of Work to be Does the utility owner have existin overhead infrastructure in the area of work? x • 2. Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? x If yes, describe: 3. Does the proposed work connect a lot or commercial development with utilities that serve more than one lot or commercial development? X 4. Does the work involve rebuilding or relocating an existing aboveground utility system which connects a lot or commercial development to an existingunderground common utilitysystem? X 5. Does the work involve proposed additions to an aboveground utility system? If es: X Are the additions for the purpose of serving new commercial development? Are the additions for the purpose of serving a single-family residential subdivision? Details of • to be Completed ®i 6. Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? r City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 If yes, answer the following questions related to project area, i.e. the actual area in which the project is proposed: 6a. Does your project involve wires/cables/lines? If yes: How many are existing? I I How many are to be added? 6b. Does your project involve poles? If yes: How many poles are existing in the project area? What is the height of the existing poles? How many poles are to be removed? Are additional poles to be laced? How many? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? What is the height of the poles after? Describe the modification rebuild: SECTION C Traffic Control and Public Safety. Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must be trained as required by WAC 296-155-305 and must have certification verifying completion of the required training in their possession. Restoration. Restoration shall be in accordance with City codes and Standards. All street cut trench work shall be patched with asphalt or City approved material prior to the end of the workday -NO EXCEPTIONS. Insurance. The City may require the owner or contractor to provide proof of insurance acceptable to the City prior to any permit approval. Indemnification. The Applicant agrees to defend, indemnify, and hold harmless the City of Edmonds, its officials, officers, employees, and agents against any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, including defense costs and attorney fees, resulting directly or indirectly from any act or omission of the Applicant, its subcontractors, anyone directly or indirectly employed by them, and anyone for whose acts or omissions they may be liable, arising out of, related to, or by reason of the granting of this permit; and specifically including but not limited to all loss by the failure of the Applicant to fully or adequately perform, in any respect, all authorizations or obligations under the permit. These indemnification requirements shall survive the expiration, revocation, or termination of any resulting permit approval. Acceptance of terms, conditions, and requirements. Applicant accepts the terms, conditions, and requirements set forth in this Application and agrees they apply to any resulting permit and shall comply with them to the satisfaction of the City Engineer. Applicant further agrees to comply with the conditions listed on the Submittal Requirements; with all applicable city ordinances, including but not limited to ECDC Title 18; and with all applicable requirements of state and federal law. Statement of Applicant. I declare under penalty of perjury under the laws of the State of Washington that: I am a licensed and bonded contractor; the information provided herein is correct and complete; and I am authorized by owner to act on its behalf and have authority to bind the owner to this application. Fees. The Applicant is responsible for all permit fees. APPLICANT SIGNATURE: 5¢40'122� DATE: 09/09/24 APPLICANT PRINTED NAME: Amanda Bennett APPLICANT TITLE: Engineer Tech 1 NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM pEOO PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 22224 76TH AVE W EDMONDS WA 98026 SOUTH COUNTYAREA POLE No. PLI 14775 SE1/4S 30 T 27 R 4 DATE 05/28/24 ORDER 100136831 REASON FOR WORK RELOCATE BO POLE ENGINEER ACBENNETT OPERATION 0030 MOVING NEW POLE TO CUSTOMERS PROPERTY DRAFTER U.G. NO. SCALE 1" = 60' APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D ❑ YES ■ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. 'rd� SECONDARY OVERHEAD NESC VIOLATIONS BASIC FEE S ■ NO ❑ YES (SEE NOTES) @$ '=5 PERMITS (DATE GRANTED) METER/CONV. POLE S ❑ TREE TRIM PRIMARY UNDERGROUND ❑ STATE ❑ RESIDENTIAL ❑ COUNTY ❑ COMMERCIAL ■ CITY LEU NO. SECONDARY BASIC FEE ❑ EASEMENTS @S _$ ■ REQUIRED ❑ NOT REQUIRED UNDERGROUND BASIC FEE S @S '=$ DATE RELEASED UNDERGROUND PLAT FOREIGN CONTACTS JPN# BASIC FEE S (L FT.@$ '=S ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV STREET LIGHTING q FT.0 '=S ❑ POLE STENCILING WORK IN RIGHT OF WAY FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY q FT.@$ '=S PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR MISCELLANEOUS FEES ❑ BACKHOE ❑ FLAGGING VAULT S ■ ONE CALL DATE owana - PERMIT S No. 24380837 $ STREET LIGHTING ❑ YES ■ NO $ M&R AS -BUILT $ GIS TOTAL DUE 3 DATE PAID GIS QC M&R RECEPT NO. [LOCATION GIS Ph JOINT USE SERVICE ORDER NO. MAP PAGE DATE SUBSTATION 5CR CIRCUIT NO. 12-1284 PHASE 321 ENGR'S TEL. # 425-670-3205 ENGR'S CELL # 425-725-0389 TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT. CONSTRUCTION NOTES: AT PLI 14775: REMOVE 15KVA OH XFMR UTC # 15-8935 SER #692017474 SET (1) NEW 50' CLS 2 POLE (PW1050) 7' DEEP W/ GROUNDS, 8' TO THE WEST AS STAKED FRAME POLE PER ASSY 12F337 (30 11' DOUBLE ALLEY ARM TANGENT) INSTL (1) 3/8" PR1 DG (GO113) & (1) (8") AHR, L= 10' WEST AS STAKED (AO101) INST NEW 10 XFMR MOUNTING ASSY 12V601 ON NEW POLE. HANG (167) KVA OH XFMR (BA21TS) UTC #---------------- SER# --------------- TRANSFER (3) SPANS OF 336 AAC OH PRI AND NEUT TO NEW POLE. TRANSFER (1) OH SVC TO NEW POLE STRIP AND TOP PGLE T-G /'`E)MMI NIG Ti 1 t - PUD TO ENFORCE POLE ATTACHMENT AGREEMENT. - PUD IS RESPONSIBLE FOR ENSURING THAT THE OLD POLES ARE REMOVED. OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. LEGEND: o EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE ENGINEERING DIVISION X NEW POLE TO REPLACE EXISTING POLE APPROVED AS NOTED 22224 PLI 14775 15-893 �22230 22304� _PI 11477 15-4562 jdl 10/11 /2024 VV Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or occurs during the permitted project. 5CR 12 1284 RESTORATION LIMITS TO BE DETERMINED BY CITY ENGINEERING INSPECTOR 22217 22119 22215 22221 A-6490 75-388468 22307 22230 I -' A-15748 22311 ---------- 3 7 -12 5 61 I I I OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE RECEIVED SEP 11 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SHEET 1 OF 1 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM LANE CLOSURE ON A TWO-LANE ROAD (TWO FLAGGER OPERATION) ROAD W20-1 WORK AHEAD x ONE LANE W20-4 ROAD AHEAD • x W20-7A •� x zQ 00 00 N M x G 2 0 - 2 ROADNWORK 48" x 24" (OPTIONAL) RECEIVED SEP 11 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT _ 3 Q II r C•7 48" x 24" s ROADWORKG 2 0- 2 x (OPTIONAL) 0 0 N NORTH I TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP SIGN SPACING = X FREEWAYS & EXPRESSWAYS 55-70 MPH 1500'± RURAL HIGHWAYS 60-65 MPH 800'± RURAL ROADS 45-55 MPH 500'± RURAL ROADS & URBAN ARTERIALS 35-40 MPH 350'± RURAL ROADS & URBAN ARTERIALS RESIDENTIAL & BUSINESS DISTRICTS 25-30 MPH 200'± (2) URBAN STREETS 1 25 MPH OR LESS 100'± (2) (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE RAMPS, AT -GRADE INTERSECTIONS AND DRIVEWAYS. (2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. � za W mm Lno x .m �� �, W20-7A x ONE LANE s ROAD W20-4 AHEAD x ROAD i WORK W20-1 AHEAD ENGINEERING DIVISION APPROVED AS NOTED %I/ Ul j,,.,44z 10/11/2024 vv W20-7B BE PREPARED TO STOP OPTIONAL IF 40 MPH OR LESS THIS PLAN MAY BE MIRRORED FOR OPPOSITE SIDE OF ROADWAY USING SAME SIGNS AND SPACING. YES ■ NO ❑ INITIAL AB GENERAL NOTES: 1. ALL SIGNS AND SPACING SHALL CONFORM TO THE MUTCD. 2. NOTIFY LOCAL EMERGENCY SERVICES OF CLOSURE TIMES AND DATES (OPTIONAL). 3. SIGN SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROAD CONDITIONS. 4. PROTECTIVE VEHICLE RECOMMENDED -MAY BE A WORK TRUCK. 5. ALL SIGNS MINIMUM 48" X 48", UNLESS OTHERWISE SPECIFIED. 6. CHANNELIZATION DEVICES ARE 28" REFLECTIVE CONES. SEE TABLE 1 FOR SPACING DISTANCES. 7. ALL SPACING MAY BE ADJUSTED TO ACCOMODATE AT -GRADE INTERSECTIONS AND/OR DRIVEWAYS. BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 1 60 65 1 70 LENGTH (FEET)l 155 200 1 250 1 305 1 360 1 425 1 495 570 1 645 1 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22,000 LBS. HOST VEHICLE WEIGHT > 22,000 LBS. < 45 MPH 45-55 MPH > 55 MPH < 45 MPH 45-55 MPH > 55 MPH 100' 123' 1 172' 74' 1 100' 150' TABLE 1 CHANNELIZATION DEVICE SPACING (FEET) MPH TAPER TANGENT 50-65 10 TO 20 80 35-45 10 TO 20 60 25-30 1 10 TO 20 40 LEGEND: O CHANNELIZING DEVICE r FLAGGING STATION PORTABLE SIGN AND SUPPORT �® WORK VEHICLE WITH FLASHING LIGHT WORK AREA RECEIVED CITY OF EDMONDS Right -of -Way Application #1545056 - WO 100136831 SEP 11 2024 MyBuildingPerrriit.com CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name Moe Matthews Snohomish County PUD Number Street Apartment or Suite Number E-mail Address PO Box 1107 permits@snopud.com City State Zip Phone Number Extension Everett WA 98206 (425) 783-5681 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 22224 76TH AVE W - ESPERANCE City Zip Code County Parcel Number EDMONDS 98026 00501100001200 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name CORNERSTONE HOMES NW LLC Number Street Apartment or Suite Number 13805 SMOKEY POINT BLVD 101 City State Zip MARYSVI LLE WA 98271 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 9/10/2024 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1545056 - WO 100136831 Project Contact Company Name: Snohomish County PUD Name: Amanda Bennett Email: permits@snopud.com Address: PO Box 1107 Phone #: (425) 725-0389 Everett WA 98206 Project Type Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: WO 100136831 Description of WO 100136831: PUD crews to relocate and replace a BO pole onto customer's property. Work: One day partial southbound lane closure of 76th Ave W. Work to be completed between 8am and 4pm. No tree trimming. Project Details Project Information Job Number WO 100136831 Page 2 of 2